practice updates

Hepatic encephalopathy is associated with a variety of etiologies. This post explores the mechanism of hepatic encephalopathy, as well as missed precipitants of HE in cirrhosis and treatment pearls for the ED.

How often does CT miss PE? Who is at future risk of PE after negative CTPA? What about the risk of DVT after a negative US study? This post from Anne Flower and Amy Zeidan evaluate some key questions in the evaluation of PE and DVT.

What’s your approach to an adult first time seizure? Check out this CORE EM post for a review.

Few good sentences start with ‘remember that patient?’. Missed injuries are the bane of the emergency physician’s existence. This post evaluates risk factors and ways to avoid missing vital injuries in trauma patients.

We assess and manage patients with asthma exacerbation frequently, but the specific trigger may not be readily apparent. What are some sneaky triggers of asthma exacerbation?

The source of a seizure can sometimes be tough to determine… This post evaluates sneaky triggers.

Adult myocarditis… This condition can be difficult to diagnose and manage. Read on for pearls and pitfalls for evaluating and treating myocarditis.

You have a patient with respiratory distress due to severe pneumonia. What should you do? Do you intubate immediately, place the patient on noninvasive positive pressure ventilation, or high flow nasal cannula? This post from Dr. Lentz and colleagues explores your options.

We shouldn’t have to know how to recognize them, but…
We need to be familiar with how vaccine-preventable illnesses present, the basics of management, and how to talk with the misinformed or unconvinced.